YCWUA Online Job Application

Name:*
Social Security Number:*
Are you a U.S. citizen?*
Present Address:*
Permanent Address:
Phone:*
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Type:*
E-mail:*
Emergency Contact Name:
Emergency Contact Relation:
Emergency Contact Phone:
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Emergency Contact Type:
Position you are applying for:*
Salary desired (per hour):*
Date you are available to work:*
Have you ever applied to YCWUA before?:*
If yes, which department have you applied to previously?
If yes, when did you last apply?
Are you currently employed?:*
If yes, may we inquire of your present employer?:
High School:*
Years attended (xxxx - xxxx):*
Did you graduate?*
If no, do you have a GED?
Special interests:
College:
Years attended:
Major/minor:
College 2:
Years attended 2:
Major/minor 2:
College 3:
Years attended 3:
Major/minor 3:
Trade or business school:
Years Attended:
Course of study:
Have you served in active duty for the U.S. Armed Services?*
If yes, which branch?
If yes, what was your discharge?
What was your rank at separation:
What was your MOS/Specialty?
Have you served in the National Guard or the U.S. Armed Forces Reserves?*
What was your rank at separation/currently:
Are you currently serving in the National Guard or the U.S. Armed Forces Reserves?
If yes, which Guard or Reserve component were/are you in?
What was/is your MOS/Specialty?
Do you have a valid driver's license?*
License type:*
Driver's license number:*
State of issue:
If required to obtain a commercial driver's license as a condition of employment, do you have any known conditions (medical, legal, etc.) that would bar you from doing so?*
Have you had any vehicle accidents in the past three years?*
Have you had any moving violations in the past three years?*
If yes, how many?
If yes, what type(s)?
Have you ever been convicted of a misdemeanor or felony?
If yes, please explain:
How many days of work have you missed, for any reason, during your last employment year?*
Previous (or current) Employer #1 
Previous (or current) Employer #1 Address:*
Previous (or current) Employer #1 Phone:
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Previous (or current) Employer #1 Begin Date:*
Previous (or current) Employer #1 End Date:
Previous (or current) Employer #1 Position Held:*
Previous (or current) Employer #1 Salary:*
Previous (or current) Employer #1 Reason for Leaving:*
Previous Employer #2 
Previous Employer #2 Address:
Previous Employer #2 Phone:
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Previous Employer #2 Begin Date:
Previous Employer #2 End Date:
Previous Employer #2 Position Held:
Previous Employer #2 Salary:
Previous Employer #2 Reason for Leaving:
Previous Employer #3
Previous Employer #3 Address:
Previous Employer #3 Phone:
-
Previous Employer #3 Begin Date:
Previous Employer #3 End Date:
Previous Employer #3 Position Held:
Previous Employer #3 Salary:
Previous Employer #3 Reason for Leaving:
Previous Employer #4
Previous Employer #4 Address:
Previous Employer #4 Phone:
-
Previous Employer #4 Begin Date:
Previous Employer #4 End Date:
Previous Employer #4 Position Held:
Previous Employer #4 Salary:
Previous Employer #4 Reason for Leaving:
Brief Resume (Optional, Cut and paste into the box provided):
Check any of the following technology skills that you have:
Check any of the following trade skills that you have:
References- Give the names of three persons not related to you, whom you have known for at least one year.
Reference #1:*
Reference #1 Phone:*
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Reference #2:*
Reference #2 Phone:*
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Reference #3:*
Reference #3 Phone:*
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Applicant's Certification - Please read this carefully before submitting this application.

In exchange for the consideration of my job application by Yuma County Water Users' Association (hereinafter called "YCWUA"), I agree that:

1.  I understand that I will be required to provide proof of my identity and legal right to work in the United States prior to actual employment at YCWUA.

2. I understand that as an employee of the YCWUA, I am employed at will, and may be terminated at any time without cause.

3. I understand that (1) YCWUA has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a requirement is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

4. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the YCWUA from all liability for any damage that may result from utilization of such information.

5. I also understand and agree that no representative of the YCWUA has any authority to enter into any agreement for employment for any special period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized YCWUA representative.

6. In consideration of my employment, I agree to adhere to all existing and future instructions, rules, and policies of YCWUA. I also understand that YCWUA reserves the right to change wages, hours, and working conditions as deemed necessary.

7. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

8. I certify that the facts contained in this application, including any uploaded electronic file attachments, are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application, or uploaded electronic file attachments, shall be grounds for dismissal.
I agree to the above statements and hereby digitally sign and submit this application for employment.*

Submit your application by clicking the button below.

IMPORTANT: Only click the button ONCE! You will be redirected to a new page once the application has been processed and has been accepted by our system. This process may take a few moments.
 

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